LUMPENPROLETARIAT—Let us consider the difference between a nonprofit and not-for-profit and so on. Nonprofit and not-for-profit institutions are always susceptible to losing sight of their original mission and turning the institution‘s focus away from the cause of their political struggle and toward preserving the personal incomes of elite executives with the most power in the institution, especially when they are part of a consortium, which includes for-profit components.

In the case of Kaiser Permanente, it is an entity or corporation, or consortium of for-profit and not-for-profit entities. So, of course Kaiser Permanente gouges their customers, many of whom are captives with little alternative but to go with some Kaiser ‘health plan’. But all too often people on Kaiser end up feeling ripped off, especially when one considers we could have a single payer system, or medicare for all system.

In California, where Kaiser operates dozens of hospitals and hundreds of clinics, patients seeking treatment for mental health conditions are sometimes made to wait weeks for appointments, in violation of state law, a report from National Union of Healthcare Workers finds. When they finally get to see a doctor, they often receive brief consultations that only last half as long as the the recommended minimum amount of time, according to the report. And many patients end up in group therapy settings when one-on-one sessions with a clinician would be more appropriate.

Kaiser’s alleged habit of rushing its patients through the treatment process carries dire implications for the company’s more than 6.6 million California members. Such practices are likely to lead to misdiagnoses, according to the report, and to patients not getting the kind of treatment that will best help them.

The report cites incidents where patients are “funneled” into group therapy sessions, involving one clinician and as many as 20 patients. Clinicians say that for many patients, individual sessions would be more appropriate, yet Kaiser’s emphasis on consolidation means these patients often end up in a group setting.